Sheet 1: ORDER FORM

	
	
	
	
	
	
	
	
	
	
	
	

		

 
		
		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		

 
		
		


		


		


		


		


		


	
	

		


		
2022 TABE®Services Order Form
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Ship to
		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		
Bill to
		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Name:
		


		


		
Name:
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Organization Name:
		


		


		
Organization Name:
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Shipping Address:
		


		


		
Billing Address:
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
City:
		


		


		
City:
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
State:
		


		
Zip Code:
		


		


		
State:
		


		
Zip Code:
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Phone:
		


		


		
Phone:
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Email Address:
		


		


		
Email:
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
P.O. #:
		


		


		


		


		


		
Order Date:
		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
By placing this order you are agreeing to TABE student data being transferred to a DRC SFTP server for integration into a publisher's learning management system (LMS) for the purpose of creating individualized learning plans.
		


		


		


		


		


		


		


		


		


		


	
	

		


		
TABE SERVICES
		


		


		


		


		


		


		


		


		


		


	
	

		


		
Qty
		
ISBN
		
Item Description
		
Unit
		
Price
		
Total
		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
C8715000
		
TABE Nightly SFTP Extract Data Integration
		
Each
		
$200.00
		
$0.00
		


		


		


		


		


		


		


		


		


		
$0.00
	
	

		


		


		
C8715001
		
Aztec Software Data Integration
		
Each
		
$200.00
		
$0.00
		


		


		


		


		


		


		


		


		


		
$0.00
	
	

		


		


		
C8715002
		
Essential Education Data Integration
		
Each
		
$200.00
		
$0.00
		


		


		


		


		


		


		


		


		


		
$0.00
	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Please attach purchase order and any special billing forms. Applicable state and local taxes are prepaid and will be added to your invoice.  Prices effective through December 31, 2022.
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Grand Total:
		
$0.00
		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Please submit your orders to DRC Shelf Customer Service via phone, fax, email, or mail.
		


		


		


		


		


		


		


		


		


	
	

		
PO Box 398, Hopkins, MN 55343-0398
		


		


		


		


		


		


		


		


		


	
	

		
Phone: 800-538-9547   Fax: 800-282-0266
		


		


		


		


		


		


		


		


		


	
	

		
Email: ShelfCustomerService@DataRecognitionCorp.com
		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Invoices: Payment term is NET 30 from date of invoice.  If payment is not received, DRC may suspend the service.  Order service term is 12 months from activation.  No refunds will be issued for unused administrations of services.                                                                                                                                                                                                                                                                                                                  
		


		


		


		


		


		


		


		


		


		


	
	

		


		
                                                                                                                                                                                                                                                                                                                  Order Form Privacy Statement: DRC shall have the right to use student personal information and data and Licensee Information for research purposes for development of assessment tests, statistical analysis and norms and other research purposes (collectively “Research”), provided that students’ identifiable information will be used only in the aggregate so the privacy of the individual's such information will be maintained.

Customer Privacy Notice: DRC respects your privacy. We use your contact information to fulfill your requests and service your account. Your information is located in a secure database in the U.S. and access is limited to authorized persons. You may contact DRC, 13490 Bass Lake Road, Maple Grove, MN 55311 or call 1.800.538.9547 to Opt Out, review your data or ask questions. For more information about Data Recognition Corporation’s Privacy Policy, visit our website at www.datarecognitioncorp.com/Pages/privacy.aspx.